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PV2020-145 - Permits
' City of Newport Beach - Building Divistion SOLAR Permit: PV2020-145 IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �'s PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 9Inspection Requests/Telephone (949)644-3255 �„r��g Project No :1694-2020 Job Address: 2909 SILVER LN NB Issued Date : 10/1612020 Description:SFR SOLAR PV SYSTEM. 19 MODULES 6.080 KW. Inspector Area: 3 Owner: UENO MITSUO Address: 2909 SILVER LN NEWPORT BEACH, CA 92660 Phone Legal Desc.: Applicant: QUINTANILLAANI Address: 1206 COMMERCE CENTER DR #103 LANASTER CA 93534 Phone: 818.625-6896 Code Edit : 2019 Type of Construction: V -B Occupancy Group: R31U No of Stories: 0 N TR 3068 LOT 20 Contractor: VIBE SOLAR Architect: Address: 1206 COMMERCE CENTER DR #103 Address: LANCASTER CA 93534 Phone: 661485-5000 Phone: Con State Lic: 1036012 Lic Expire: 02128/2022 Bus Lic: BT30072964 Lic Exp Date: 09/30/3021 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9260248 Expire: 0910512021 Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Engineer: Address: Phone: State Lic: State Lic: Designer: CALUAG SHELLEY Address: 2317 MIRA VISTA AV UNIT D MONTROSE CA 91020 Phone: 323.698-4207 mmmmm. e •ee• ooee , e e moe,m• 0 Deco o c 0o m e em , m , e m mm 0000 c m 0000 Valutaion: $24,320.00 Building Permit Fee $240.00 Record Management (8 1/2 X 11) $0.00 Plan Check Fee : $210.00 Record Management (Plans) $0.00 TOTAL FEE: $450.00 Plan Check Fee : $210.00 Fee Due at Permit Issuance : $240.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY:� APPROVAL TO ISSUE: C TUEi C� PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 &f 3115.2 �� (\7 ` I ALLOWED (-� E}ETEPHOR APPLICA i 101'vS me0000 e � emooc m em000 omeooc o c c m c m0000o m c 0000 I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(%) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply to an ovner ofproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exetlMM fry jl licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally 'a,structu$e beat I.have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and fessions CWE?, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date -tNSED OgNILZACTOR'S DECLARATION �I'eby affirm undenpenalty of perjury that I am licensed under provisions of Chapter 9 (commencingPER 'h ection 7000) of Division 3 of the Business an PFo'fession Code, and my license is in full force t:ffect. .... 1r1 Se Clast • ' License No Dat0 Contractor Signature )RKERS' COMPENSATION DECLARATION MN G: FAILURE TO $r,CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB,IECT AN EMPLOTO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H N RED THOUSA DOLLARS 1$100,0001, IN ADDITION TO THE T 02: COMPENSAFIOM DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1WW affirm under penalty of perjury one of the following declarations: .... ,Yfiave and yejIL Ql%inlain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the 'ormance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Date lame of Agent rnuna M 71 certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the wor ers' compensation laws of California, and agree tat, if I should becomeuN t to theworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ',ignature of Applicant D —LW ) G`'y IECLARATION REGA IN ION LENDING AGENCY hereby affirm under pe ally of p . ' -that here is a construction lending agency for the performance of the work for which this permit is issued (Section 30971, 'vil Code). ender's Name Lender's Address iy my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county rdinances and stat laws relating to building construction. I authorize representatives of this city or coun o nter the above -'de t property for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's fa AC770N DATE BY D_CIARATION O COMPITANCEIMTNGODE OF 0 I SUBMITIEDASBESTOS NOTIFICATION TO: © EPA 0 AQMD PERMITCANC€LIED PERM/TEXTENDED 0 ASBESTOS NOTIRCABON/S NOT APPLICABLE TO PROPOSED DEMOLITION. 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